#1580
@001 Please state the name of the testator:
@002 Please state the city, state of residence of the testator:
@003 Please state brief burial instructions:
@004 Please state name of charity:
@005 Please state type of charity for alternate beneficiaries:
@006 Please state the state where executed:
@007 Please state the name of the executor:
@008 Please state the name of alternate executor:
@010 Please state the county where executed: 
#end control section
#1580
/* Short will -- all to charity Para. 1580*/

                    LAST WILL AND TESTAMENT OF
               @001

                           I.


     I, @001, residing at @002, being of sound mind and in the 
contemplation of the certainty of death, do hereby declare this 
instrument to be my last will and testament.


                          II.

    I hereby revoke all previous wills and codicils.


                         III.


    I direct that the disposition of my remains be as follows:


@003


                         IV.



     I give all the rest and residue of my estate to 
@004, or its successors in interest. If there is no successor to
@004, then I direct that my personal representative select a
charitable organization which has as its primary purpose:


@005


                             V.


     I appoint @007, to act as the executor of this will, to
serve without bond. Should @007 be unable or unwilling to serve,
then I appoint @008 to act as the executor of this will.


     I herewith affix my signature to this will on this


the ____________ day of ________________________________, 19___


at ________________________________________, in the presence of
the following witnesses, who witnessed and subscribed this will
at my request, and in my presence.



			ATTESTATION CLAUSE


    On the date above written, @001, well known to us declared 
to us, and in our presence, that this instrument,


consisting of _____ pages, is their last will and testament, and
@001, then signed this instrument in our presence, and at @001's
request we now sign this will as witnesses in each other's
presence. Further that @001, appeared to us to be of sound mind
and lawful age, and under no undue influence.


Witness:




_______________________________________________________________



Address: ______________________________________________________



Witness:




_______________________________________________________________



Address: ______________________________________________________



Witness:




_______________________________________________________________





Address: ______________________________________________________



STATE OF @006


COUNTY OF @010


     Before me, the undersigned authority authorized to
take acknowledgments and administer oaths, personally appeared:


@001



_______________________________________________________________



_______________________________________________________________



_______________________________________________________________



who after being having duly sworn or affirmed to tell the truth,
stated:


	1.  That @001 declared this instrument
to be their last will and testament to the witnesses.


	2.  That @001 signed this instrument in their presence.


	3.  That the witnesses signed as witnesses in the
presence of @001 and each other.


	4.  That @001 is well known to the witnesses, and the
witnesses believe @001 to be of lawful age, of sound mind and
under no undue influence or constraint.



______________________________________________________________

Officer


Title of Officer:__________________________________________


My Commission Expires: _________________________